Marilyn Smith, CIDDT
NPI #1265156533 in Ellisville, Mississippi
Provider Information
- NPI Number
- 1265156533
- Entity Type
- Individual
- Name
- Marilyn Smith, CIDDT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Credential
- CIDDT
- Enumeration Date
- Sep 30, 2022
- Last Updated
- Sep 30, 2022
Practice Location
- Address
- 5192 HIGHWAY 11 N
- City
- Ellisville
- State
- Mississippi
- ZIP Code
- 39437-5050
- Phone
- (601) 425-3439
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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